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For permission to reuse material from the American Journal of Tropical Medicine and Hygiene, ISSN 0002-9637, please visit www.copyright.com or contact the Copyright Clearance Center, Inc. (CCC), 222 Rosewood Drive, Danvers, MA 01923, 978-750-8400. CCC is a not-for-profit organization that provides licenses and registration for a variety of uses. For requests that cannot be processed through CCC, please contact the editorial office.